Jessie Weaver

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1670 Issued in KY

Practice address

1629 Madison Ave
Covington, KY 41011-3317

Phone

(859) 814-8022

NPI assigned

Oct 31, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Ms. Jessie Weaver Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1427525005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 WELCHBURG ESTATES RD",
            "city": "ANNVILLE",
            "state": "KY",
            "postal_code": "404029661",
            "telephone_number": "606-560-3176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1629 MADISON AVE",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410113317",
            "telephone_number": "859-814-8022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "JESSIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-31",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "299795",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "1670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADC",
            "identifier": "299795",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSIE",
            "last_name": "WEAVER",
            "prefix": "MS.",
            "credential": "LCSW, LCADC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amy Ward, LCSW
• Geniene Eileen Ward, APRN
• Patrick Warf, LPCC
• Suzanne Watters, RN
• Nicole Waugaman
• Paula Weber, LCSW
• Lorraine Webster, B.S.
• Melissa Webster, PHARMD
• Diana Weiglein, PTA
• Kilee Weiskittel

• Clinical Social Worker in Covington, KY
• Providers in Covington, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.